Web Seminar 8 July 2020 Preparedness, Prevention and Control of COVID-19 in prisons and other places of detention Carina Ferreira Borges, Programme Manager, Alcohol and Illicit Drugs & Prison Health WHO European Office for Prevention and Control of Noncommunicable Diseases (NCD Office)
https://www.who.int/emergencies/diseases/novel- coronavirus-2019 08/07/2020 2
08/07/2020 3
A brief review
WHO Interim Guidance: COVID-19 in prisons • Prison health is part of public health ➢ Prisons are not healthy places (overcrowding, poor hygiene), multimorbidity is common and higher rates of infectious diseases ➢ One third of prisoners leave prison every year and the interaction between prisons and society is huge ➢ We have to ensure that prisons are not “disease pumps”, carrying back with them new diseases and untreated conditions that may pose a threat to community health and add to the burden of disease in the community • Efforts to control COVID-19 in the community are likely to fail if strong infection prevention and control measures, testing, treatment and care are not carried out in prisons and other places of detention as well. | Specific Recommendations arising from “WHO interim guidance on Preparedness, Prevention and Control of COVID -19 in prisons and other places of detention” 23/04/2020 5
WHO Interim Guidance: COVID-19 in prisons General considerations and principles Adequate measures should be in place to ensure a gender-responsive • approach in addressing the COVID-19 emergency in these settings. Ensure human rights are respected, people are not cut off from the outside • world, and have access to information and adequate healthcare provision. Enhanced consideration should be given to resorting to non-custodial • measures at all stages; priority to pregnant and women with dependent children. Allow prisoners at highest risk to be separated from others (single • accommodation, if possible; cohorting as alternative). WHO Intermin Guidance. Preparedness, prevention and control of COVID-19 in prisons and other places of detention | Specific Recommendations arising from “WHO interim guidance on Preparedness, Prevention and Control of COVID -19 in prisons and other places of detention” 23/04/2020 6
WHO Interim Guidance: COVID-19 in prisons • Health services in prisons must therefore respond to these unique and complex needs, and be of an equivalent standard to services in the general community • People in prisons are more vulnerable to infection with COVID-19. People in prisons are ESPECIALLY more vulnerable to human rights violations. • The rights of all affected people must be upheld, and all public health measures must be carried out without discrimination of any kind. | Specific Recommendations arising from “WHO interim guidance on Preparedness, Prevention and Control of COVID -19 in prisons and other places of detention” 23/04/2020 7
WHO Interim Guidance: COVID-19 in prisons https://monitoringhsd.limequery.com/433475?newtest=Y&lang=en 23/04/2020 8
Communication Specific Products targeted at Prisons Factsheet for Visitors Factsheet for People in Prison 08/07/2020 | Title of the presentation 9
Monitoring and surveillance Links to report Prison: https://datacol.euro.who.int/forms/815249 Youth detention centres: https://datacol.euro.who.int/forms/442589 Immigration detention centres: https://datacol.euro.who.int/forms/319211 08/07/2020 | Title of the presentation 10
Lessons learned 1.Prison overcrowding should be addressed 2.Human rights 3.Coordination mechanisms are a key feature of the response 4.Implementation of measures need capacity building, supervision, collaboration 5.Importance of continuity of care 6.Prison/detention management and health-care staff should work alongside local public health agencies to implement IPC recommendations described. At all times, they must balance public health risk against any operational pressures on prisons and other places of detention and the wider secure and detained estate. WHO Intermin Guidance. Preparedness, prevention and control of COVID-19 in prisons and other places of detention. ECDC technical report. Infection prevention and control and surveillance for coronavirus disease (COVID-19) in prisons in EU/EEA countries and the | Specific Recommendations arising from “WHO interim guidance on Preparedness, Prevention and Control of COVID -19 in prisons and other places of detention” 23/04/2020 11
Thank You WHO Regional Office for Europe WHO_Europe UN City facebook.com/WHOEurope Marmorvej 51 instagram.com/whoeurope Copenhagen Ø Denmark youtube.com/user/whoeuro
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